EDGARDO JOSE TUAZON VILLANUEVA

BRONX, NY
NPI1013533835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  014572)
Enumeration Date2020-06-17
Last Update Date2020-06-17
Business Address
Mr. EDGARDO JOSE TUAZON VILLANUEVA OTR/L
6585 BROADWAY
BRONX, NY 10471-2050
Phone number: 718-549-2200
Mailing Address
Mr. EDGARDO JOSE TUAZON VILLANUEVA OTR/L
6700 192ND ST APT 1500
FRESH MEADOWS, NY 11365-3784
Phone number: 917-498-7777
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